15 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
15 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Old Saybrook, CT
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
60 Boston Post Rd, Old Saybrook, CT
(860) 388-6696
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
132
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-10-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.48
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.73
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.29
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
9%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
4,835
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9915
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.65
Baseline 21.05% · Performance 20.21% · Measure score 2.65 · Achievement 2.65 · Improvement 1.61
Healthcare-associated infections
2.53
Baseline 5.79% · Performance 7.08% · Measure score 2.53 · Achievement 2.53 · Improvement 0
Total nurse turnover
7.67
Baseline 31.25% · Performance 32.32% · Measure score 7.67 · Achievement 7.67 · Improvement 0
Adjusted total nurse staffing
2.51
Baseline 3.50 hours · Performance 3.79 hours · Measure score 2.51 · Achievement 2.51 · Improvement 0.79
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.15% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 145 · Observed rate 13.79% · Lower 95% interval 8.77% |
| Discharge to community | 51.13% |
50.57%
0.6 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 45.61% · Lower 95% interval 42.87% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.75% |
95.27%
3.5 pts better
|
Numerator 79 · Denominator 80 |
| Falls with major injury | 1.25% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 80 |
| Discharge self-care score | 58.33% |
53.69%
4.6 pts better
|
Numerator 35 · Denominator 60 |
| Discharge mobility score | 51.67% |
50.94%
0.7 pts better
|
Numerator 31 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 80 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.08% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 89 · Observed rate 6.74% · Lower 95% interval 4.45% |
| Staff COVID-19 vaccination coverage | 17.39% |
8.2%
9.2 pts better
|
Numerator 24 · Denominator 138 |
| Staff flu vaccination coverage | 51.82% |
42%
9.8 pts better
|
Numerator 71 · Denominator 137 |
| Discharge function score | 55% |
56.45%
1.5 pts worse
|
Numerator 33 · Denominator 60 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 47 · Denominator 47 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 44.83% |
25.2%
19.6 pts better
|
Numerator 13 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.8% |
87.5%
8.7 pts worse
|
93.4%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.4% · Q2 77.9% · Q3 87.3% · Q4 91.0% · 4Q avg 78.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.6% |
93.5%
1.1 pts better
|
95.5%
0.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.4%
0.6 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 4.8% · Q3 1.8% · Q4 2.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
17.1%
16.3 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 1.1% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
6.4%
2 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 5.3% · Q3 3.0% · Q4 3.3% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.7% |
17.3%
2.6 pts better
|
19.6%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 16.7% · Q3 11.7% · Q4 16.0% · 4Q avg 14.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.6% |
19.4%
7.8 pts better
|
16.7%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 14.7% · Q3 8.8% · Q4 6.9% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.2% |
18.1%
8.1 pts worse
|
16.3%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 21.1% · Q3 29.4% · Q4 17.2% · 4Q avg 26.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.7% |
18.4%
5.3 pts worse
|
14.9%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 26.4% · Q3 26.1% · Q4 19.3% · 4Q avg 23.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 1.7% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
1.7%
1.7 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.0% · Q3 4.6% · Q4 3.1% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.3% |
24.8%
4.5 pts worse
|
19.8%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 25.9% · Q3 33.0% · Q4 29.7% · 4Q avg 29.3% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.4%
0.8 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.6% · Q3 3.9% · Q4 3.3% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.5% |
70.5%
12 pts worse
|
81.7%
23.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.8% · Q2 51.3% · Q3 53.2% · Q4 66.1% · 4Q avg 58.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
11.1%
0.5 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 10.6% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.8% |
69.7%
18.9 pts worse
|
79.7%
28.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
25.0%
0.9 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 24.2% · Expected 22.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
15 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-12-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-24
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-01-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-30
Fire Safety
Meet other general requirements.
Corrected 2024-12-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-04
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-11-22
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-01-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-22
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-01-05
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-01-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-15
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-02-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-15
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-02-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-02-27
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-02-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-27
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-12-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-25
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-12-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-31
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-31
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-12-31
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-31
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-31
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-12-31
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-12-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-29
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-27
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-01-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-01-27
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-01-27
Health
Assess the resident when there is a significant change in condition
Corrected 2023-01-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-01-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-27
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-01-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-27
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-01-27
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-01-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-01-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2020-03-02
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2020-03-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-02
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2020-03-02
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
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